For Immediate Release
Date: Oct 7th, 2010
Contact: Aaron Washburn
What Happens in Alaska, doesn’t Stay in Alaska
From Boston to New Mexico: Non-dental groups target several states for workforce changes
By Aaron Washburn, MDA Assistant Executive Director, Governmental Affairs and Finance
A small group of MDA members and staff (including myself) recently returned from a quick trip to Boston. During our stay we had a chance to visit with several other state dental associations and learn more about the workforce initiatives they are pursuing and the initiatives that outside groups are pushing in their states.
The Missouri Dental Association has been actively involved in workforce discussions for many years. However, despite the hours of work and countless conversations, we have seen very little change.
MDA has pursued legislation in the past that would increase access, maintain the dentists as the head of the profession and ensure safety. But the outcry legislators heard from dental team members, as well as some dentists, stalled those initiatives before they really even got started.
The concern has always been that if dentists and the dental association did not recommend changes, others (without dental knowledge) would push for changes that could place lesser trained individuals at the head of the profession and risk public safety.
Unfortunately, it appears these early concerns were justified.
Many dentists are aware of the workforce changes experienced in Alaska. Some are also aware that Minnesota has seen the addition of two new workers (their scope includes some irreversible procedures).
However, most people are not aware of the increasing impact those outside of the profession are having on workforce throughout the country.
The W.K. Kellogg Foundation has funded initiatives to expand the new Alaska worker (DHAT) into other states. They recently selected five states (including Kansas) to focus their efforts. In each of these states, they are providing local groups (not dental associations) hundreds of thousands of dollars to build coalitions and advocate for legislation that would create these new workers.
Additionally, the Kellogg Foundation is working with the Josiah Macy Jr., Foundation to develop a curriculum for this new category of worker. They expect their work to be completed early next year. Their work could provide a springboard for other states to adopt DHATs. Additionally, their work threatens to usurp CODA as the only certifying body of oral health education.
The Pew Center on the States recently issued a report, The Cost of Delay, which graded each state based on eight specific policy markers. According to their report, 1 in 5 children are failed by the current oral health system. (Missouri received a C in their study). (Read report at http://www.pewcenteronthestates.org/report_detail.aspx?id=56870.)
Pew has matched their report with additional resources from the Pew Childrens Dental Campaign. That campaign is working to make workforce changes in selected states. Pew is not advocating for a particular workforce model (unlike the Kellogg foundation), instead they are pushing for changes that would make oral health care more accessible to children. Pew has not selected the states they are working with yet, but they have considered Missouri.
Even smaller groups have suddenly begun to spring up. For example, Con Alma (which translates to With Soul) is working with groups in New Mexico to advocate for a new dental workforce. Their work is partially funded by the Kellogg Foundation.
Research institutions also have joined the call for change. The University of California San Francisco Health Policy Center has been involved in work that would impact dental workforce. And the National Academy of Sciences Institute of Medicine (IOM) recently launched two initiatives regarding dental workforce.
IOMs first program, which is partially funded by the U.S. Department of Health and Human Services as well as the California HealthCare Foundation, will assess the current U.S. oral health system of care, explore its strengths, weaknesses and future challenges, describe a desired vision for the oral health care system and recommend strategies to achieve that vision. The project is chaired by a pediatrician who currently serves as professor of pediatrics at the University of Washington School of Medicine. Information about this study is available at the IOM website (www.iom.edu/Activities/HealthServices/OralHealthAccess.aspx).
IOM also has convened a committee to explore ways to increase the publics understanding of the relationship between good oral health and overall health, and to promote prevention and oral health literacy. Neither of these projects will include dentists, despite ADAs efforts to be included.
In response to all of this work, some state dental associations have begun to develop their own proposals for new workers in their states. The Maine Dental Association supported legislation last year that would allow hygienists to practice independent of dentists. The Washington State Dental Association recently announced their support for the establishment of a Therapist Hygienist in their state. This team member would be able to perform selected irreversible procedures under a dentists supervision.
The Missouri Dental Association does believe that we should develop new workers in our state (although we do not support allowing dental team members to perform irreversible procedures). In areas designated as Health Professional Shortage Areas we believe new workers would increase access.
The House of Delegates has instructed the Board of Trustees to pursue legislation in 2011 that allows for the addition of an Oral Preventive Assistant to the dental team. Additionally, the Houses resolution encourages the Board of Trustees to support legislation that would provide additional solutions to the access-to-care problem.
We all know that much of the access to care problem would be eliminated if the states Medicaid system provided appropriate reimbursement, was run in an efficient way (carve out) and provided coverage to all needy populations (including adults and the developmentally disabled). But this years budget crunch (which is projected to be worse next year) makes it clear that funding to make these changes is many years away.
At some point legislators are going to start looking for solutions that can provide care to needy populations without adding money to the state budget. The question is: Who is going to be there to offer these legislators solutions?
With so many initiatives going on throughout the country, it seems inevitable that outside groups will soon be recommending dental workforce changes in our state. It is important that your Association is actively engaged in these conversations and brings solutions to the table as well.
As soon as this legislative session closes, members of the Legislative and Regulatory Committee as well as the Board of Trustees will begin developing next years priorities. As mandated by the House of Delegates, those priorities will include workforce improvement.
As with all of MDAs efforts, we hope that the work we are doing reflects the desires of the entire membership. But, that can only be accomplished if you share your thoughts with us.
Please take time over the coming months to learn about the numerous dental workforce initiatives going on, and about the solutions supported by your association. Then share your thoughts with your Trustees and LRC Representatives.
As always, MDA staff is always available to answer questions you may have, or even present information about workforce to local study clubs or small groups. We look forward to hearing from you.
Aaron Washburn is the Missouri Dental Associations Assistant Executive Director, Governmental Affairs and Finance and serves as the MDAs staff lobbyist. Contact him at firstname.lastname@example.org or 573-634-3436.
Reprinted with permission from the March/April 2010 issue of MDA Focus, the magazine of the Missouri Dental Association.
I did not want this information to stay in Missouri. The KDA Executive board and House of Delegates have been receiving reports on these issues from Drs. Ken Rich and Andy Elliott for several years. This article provides an excellent summary of how this issue has migrated to a variety of scenarios. Our ADA has been very diligent in attempting to control or mitigate the implementation of these programs. John Thompson, Editor, KDA TODAY.
Click on any title below to read the press release. The release will open up in a new browser window with no menus or images, so that you may print or copy the press release without extraneous graphics.
|Feb 16th, 2017||Trends in Dentistrythe More Things Change, the More they Stay the Same|
|Feb 16th, 2017||KDA Editor Wins Prestigious William J Gies Award Editorial Award|
|Feb 16th, 2017||A Look Ahead|
|Feb 16th, 2017||Celebrate the Best in Everyone!|
|Feb 16th, 2017||Still Much to Do and Many Changes on the Horizon|
|Feb 2nd, 2017||Association Glove Program: 2017 First Quarter Specials|
|Dec 20th, 2016||I Used To Be a Libra |
|Dec 20th, 2016||Political Slogans and Other Words to Live By|
|Dec 20th, 2016||Whats in Your Water?! |
|Dec 20th, 2016||Membership is the Key to Our Future and the Responsibility of All: Our Own Members are Our Best Recruitment Tool|
|Oct 24th, 2016||Happy Trails from the Mountains of Eastern Kentucky|
|Oct 24th, 2016||Our KDA Foundation is Small, but We CAN Make a Difference|
|Oct 24th, 2016||Kentucky Dental Foundation Board Members Work to Establish Goals and Priorities to Ensure a Bright Future|
|Oct 24th, 2016||You Cant Always Get What You Want|
|Oct 10th, 2016||October is Breast Cancer Awareness Month: Simple Steps Women Can Take to Reduce the Odds of Developing Breast Cancer|
|Sep 12th, 2016||Does Frankfort Need a Better Understanding of our Medicaid Population?|
|Sep 12th, 2016||Lets Move!|
|Sep 12th, 2016||Bonus Points May Not Be Enough|
|Sep 12th, 2016||Understanding the Aging Phenomenon/The Aging Tsunami: Demographic Imperative|
|Sep 12th, 2016||Aging and Frailty Basics|
|Sep 12th, 2016||Polypharmacy: A Geriatric Syndrome with Serious Implications for Oral Health|
|Jun 14th, 2016||Pigs in Space|
|Jun 14th, 2016||Half Way through 2016 and Still a year to Go...|
|Jun 14th, 2016||What Can I Tell You?|
|Jun 14th, 2016||Women Rising: The Unseen Barriers|
|Apr 15th, 2016||Survivor Stories: How to Endure the Rank of New Dentist and Live to tell about it|
|Apr 15th, 2016||Love Never Fails|
|Apr 15th, 2016||A Grateful Heart|
|Apr 15th, 2016||Dentistry is Our Life's Work - Be passionate!|
|Feb 12th, 2016||Be PROACTIVE and Rededicate Yourself to Membership in our Tripartite Organization|
|Feb 12th, 2016||My New Years Resolution|
|Feb 12th, 2016||# the future is not what it used to be|
|Feb 12th, 2016||NOW is the time to belong to the KDA!|
|Dec 28th, 2015||Meet the Bevins|
|Dec 28th, 2015||You Can Keep Our Momentum Moving Forward|
|Dec 28th, 2015||Measuring the Burdon of Ethics |
|Dec 28th, 2015||Downtown Fun. If You Dont Believe Us, Come See!|
|Dec 28th, 2015||Highlights of the 2015 ADA House of Delegates|
|Nov 23rd, 2015||Delta Dental of Kentucky Hints at a Large Statewide Project in the Works for 2016 at the Kentucky Oral Health Summit|
|Oct 27th, 2015||Scary Good Web Design Tips From Officite|
|Oct 15th, 2015||Medicaid Work Group Update|
|Oct 15th, 2015||Just the Facts: Kentucky Meeting Changes Create Confusion|
|Oct 15th, 2015||Our New Mission will require the Efforts of All|
|Oct 15th, 2015||Oral Health Literacy as a Primary Goal and Not an Afterthought |
|Oct 15th, 2015||Still Crazy after Just One Year|
|Oct 15th, 2015||Womens Forum Enjoys Perfect Weather, Perfect Setting and Engaging Dialogue!|
|Aug 14th, 2015||Calling ALL Members and Non-Members: We Need Organized Dentistry!|
|Aug 14th, 2015||Can You Hear Me, Now?|
|Aug 14th, 2015||First, Do No Harm?|
|Aug 14th, 2015||A Plan for Our Future, and a New Mission StatementHelping Member Dentists Succeed and Serve|
|Jun 23rd, 2015||My Introduction: A Smidge of Trepidation, Overwhelmingly Full of Pride and Anticipation|
|Jun 23rd, 2015||Irrelevance|
|Jun 23rd, 2015||Weve got a Plan!|
|Jun 23rd, 2015||Part II: The KDAs Dental Access Summit A Report|
|Jun 23rd, 2015||Our new KDA Mission: Helping Member Dentists Succeed and Serve|
|Jun 18th, 2015||Medicare Part D: Q&A - American Dental Association - May 29, 2015|
|Apr 28th, 2015||Thank You for the Opportunity|
|Apr 28th, 2015||Ask not What Your KDA Can Do for you|
|Apr 28th, 2015||The View from No Mans Land|
|Apr 28th, 2015||KDAS Dental Access Summit Saturday, January 31, 2015 Report to KDA Part I|
|Feb 20th, 2015||Think Big!|
|Feb 20th, 2015||Its all about the membership in 2015!|
|Feb 20th, 2015||For the Record|
|Feb 20th, 2015||Into the Belly of the Beast|
|Dec 29th, 2014||When Is the Right Time?|
|Dec 29th, 2014||Who Wouldnt Want to Be a Part of This?|
|Dec 29th, 2014||Things are Moving Faster than Fast!|
|Oct 24th, 2014||Dental Insurance Direct Deposit Through A Virtual Credit Card; What Does It Cost Me?|
|Oct 21st, 2014||Who Can I Hire for $100 a Month?|
|Oct 21st, 2014||Last Call|
|Oct 21st, 2014||Im here to Help|
|Oct 21st, 2014||Get passionate! This is Our Profession!|
|Oct 21st, 2014||Postscript for an Editors Passing|
|Oct 21st, 2014||and he did what?!: Giving a Professional Second Opinion|
|Aug 21st, 2014||Your KDA is Working Hard for You!|
|Aug 21st, 2014||Nobody Goes Into Dentistry Because They Love Molars!|
|Aug 21st, 2014||Synergy|
|Aug 21st, 2014||KENTUCKY HEALTH NOW: The GOALS of our GOVERNOR|
|Jun 16th, 2014||New Friendships and Lasting Connections Creating a Stronger Interest in Organized Dentistry|
|Jun 16th, 2014||New Friendships and Lasting Connections Creating a Stronger Interest in Organized Dentistry|
|Jun 16th, 2014||YOU HAD TO BE THERE!|
|Jun 16th, 2014||Denigration|
|Jun 16th, 2014||Think Big. Think Positively. Think Proactively.|
|Apr 24th, 2014||I Only Have A Loose Screw!|
|Apr 24th, 2014||Dare to Dream!|
|Apr 24th, 2014||I am the KDA! You are the KDA! WE are the KDA!|
|Apr 24th, 2014||The Dentists Guide to Social Media Marketing|
|Feb 20th, 2014||Go Tell It on the Mountains|
|Feb 20th, 2014||UofL Brightening the Smiles of Children|
|Feb 20th, 2014||UKCDs First Regional Dental Program: The First Ten Years|
|Feb 20th, 2014||Medicaid: An Example of Missing the Goals for Oral Health in Kentucky|
|Feb 20th, 2014||Where Do We Go From Here?|
|Dec 23rd, 2013||2014 Kentucky Meeting Details|
|Dec 23rd, 2013||Welcome Dental Students and New Dentists!|
|Dec 23rd, 2013||Listen to Interviews with our Speakers!|
|Dec 23rd, 2013||Teamwork Creates Champions: the Kentucky Meeting: March 13-16, 2014|
|Dec 23rd, 2013||Dr. John Thompson Awarded Distinguished Editor Award|
|Dec 23rd, 2013||It Is What They Left Behind|
|Dec 23rd, 2013||Letting the Secret Out|
|Oct 17th, 2013||I Still Like Maps!|
|Oct 17th, 2013||Ground Game|
|Oct 17th, 2013||Kentucky Department of Insurance, HB 497 and Non-covered Services|
|Oct 17th, 2013||Dr. Janet Faraci Lees Legacy|
|Oct 17th, 2013||Dr. Janet Faraci Lee Leadership Development Award|
|Aug 12th, 2013||The Affordable Care Act: What does it mean for Our Members?|
|Aug 12th, 2013||All Membership Is Local|
|Aug 12th, 2013||White Crosses|
|Aug 12th, 2013||KDA MembershipWhere Do We Go from Here?|
|Aug 12th, 2013||Thoughts from a New Dentist: the Top Three Reasons that I am Involved with Organized Dentistry|
|Aug 12th, 2013||How can KDAIS Benefit You, as a KDA member?|
|Aug 12th, 2013||Beyond the Website: Marketing on the Modern Web|
|Aug 12th, 2013||Delinquent Accounts.Collections..YUCK! |
|Aug 12th, 2013||Every Patient Matters. So Does Every Transaction.|
|Jun 13th, 2013||The Foundation of the Kentucky Dental Association: Positioned to Make a Powerful Statement|
|Jun 13th, 2013||Something I Wish I Didn't Know!|
|Jun 13th, 2013||Preaching to the Choir|
|Apr 15th, 2013||Participate in Your KDPAC! Contribute and Deliver|
|Apr 15th, 2013||The Pediatric Dental Benefit: Must Offer, May Purchase|
|Apr 15th, 2013||Exchange What?|
|Apr 15th, 2013||So Long, Farewell, Auf Wiedersehen, Adieu|
|Apr 15th, 2013||United We Stand, Divided We Fall|
|Feb 12th, 2013||The Tip of the Iceberg: Actions by the Kentucky Department for Medicaid Services Which May Sink KMAP|
|Feb 12th, 2013||Living Is What You Do When Life Gets In the Way|
|Feb 12th, 2013||A Profession in Flux|
|Feb 12th, 2013||Its a Dentist Thing|
|Oct 19th, 2012||Membership Matters|
|Oct 19th, 2012||House Bill 1 and What It Means to You|
|Oct 19th, 2012||Self-Regulation|
|Aug 21st, 2012||Sarrell Dental: Beyond the Operatory|
|Aug 21st, 2012||The Perception of Dentistry|
|Jun 18th, 2012||Leadership or Politics?|
|Jun 18th, 2012||What Part of the “Affordable Care Act” Has Been Affordable?|
|Jun 18th, 2012||I Had an Uncle…|
|Apr 6th, 2012||The "New Old" Still have Teeth|
|Apr 6th, 2012||Many Thanks for a Great and Memorable Year|
|Apr 6th, 2012||What a Year, so far!|
|Feb 21st, 2012||All for One and One for All!|
|Feb 21st, 2012||Happy New Normal|
|Dec 19th, 2011||The Wide World of Sports|
|Dec 19th, 2011||Access to Care?|
|Oct 28th, 2011||To the KDA Executive Board and the entire KDA|
|Oct 28th, 2011||Report of the Sixth District Trustee|
|Oct 18th, 2011||Managed Care and Dentistry in Kentucky: a Dentist’s Dilemma|
|Oct 18th, 2011||Word-of-Mouth on Steroids!|
|Oct 18th, 2011||Why We Shouldn't Lose Sight of Our Purpose...|
|Aug 4th, 2011||Mentor a Young Dentist and Change a Life|
|Aug 4th, 2011||OMG, what is EBD?|
|Aug 4th, 2011||CAPWIZ: Legislative Advocacy Made Easy|
|Jun 13th, 2011||Outside Our Line|
|Jun 13th, 2011||I Might Soon Be Coming to a Town Near You...|
|Apr 18th, 2011||Let Me Ask For a Minute of Your Time|
|Apr 18th, 2011||I Pledge to Be your Humble Servant…|
|Apr 18th, 2011||Blindsided|
|Apr 18th, 2011||On Your Side, Not Your List|
|Feb 17th, 2011||Dr. Andy Elliott for President-elect of the American Dental Association|
|Feb 4th, 2011||Adjusting Attitudes|
|Feb 4th, 2011||A Little Planning Really Helps|
|Jan 4th, 2011||Dental Management of Patients Taking Antiplatelet Medications|
|Nov 30th, 2010||Holiday Greetings to All|
|Nov 30th, 2010||Delegates Report from the 2010 American Dental Association House of Delegates, Orlando, Florida|
|Nov 30th, 2010||Dental Education Found Worthy|
|Oct 25th, 2010||Delegates Report from the 2010 American Dental Association House of Delegates, Orlando, Florida|
|Oct 7th, 2010||We Need To Do a Better Job of Communicating|
|Oct 7th, 2010||What If …?|
|Oct 7th, 2010||I’m in a Hurry!|
|Oct 7th, 2010||Who Will Speak for Me?|
|Oct 7th, 2010||What Happens in Alaska, doesn’t Stay in Alaska|
|Aug 6th, 2010||Kentucky's Dental Practice Act: The Passing of an Old Friend|
|Aug 6th, 2010||The Times They Are Changing|
|Jun 10th, 2010||How a Star was Born|
|Jun 10th, 2010||I Need Your Help…|
|Apr 20th, 2010||President's Message MA 2010|
|Apr 20th, 2010||KDA and Louisville Water Company Share 150th Birthday and Public Health Vision|
|Apr 20th, 2010||Getting It Right!|
|Feb 25th, 2010||What is a Legacy?|
|Feb 25th, 2010||Please Join Us for an Exciting, Event-Filled Year Ahead!|
|Dec 14th, 2009||Holiday Reflections…|
|Dec 14th, 2009||Challenging the Myth of the Suicide-Prone Dentist|
|Dec 14th, 2009||There is Hope: Suicide Awareness and Prevention in Kentucky|
|Nov 6th, 2009||Don’t Balance Health Care Books by Shortchanging Physicians|
|Nov 6th, 2009||Break your Right Arm and Suddenly You have Time to Study Economics.|
|Jun 26th, 2009||Making the World a Better Place, One Village at a Time!|
|Apr 13th, 2009||Breaking Glass|
|Feb 20th, 2009||At the Heart of any Worthy Project is a Committed Volunteer|